IKDO STATE STREET LLC
NPI 1932683752
Dentist - Orthodontics and Dentofacial Orthopedics in Garden City, ID

Active since September 18, 2018
9209 W STATE ST, GARDEN CITY, ID 83714(208) 388-1111 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ikdo State Street Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IKDO STATE STREET LLC (NPI 1932683752) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Garden City, Idaho and active in the NPI registry since September 2018. The organization lists Jaycie Birch, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1932683752
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameIKDO STATE STREET LLC
Location Address9209 W STATE STGarden City, ID 83714
Mailing Address9209 W State StGarden City, ID 83714 · (208) 388-1111
Organization SubpartNo
Authorized OfficialJaycie BirchOffice Manager · (208) 388-1111
Enumeration DateSeptember 18, 2018
NPI 1932683752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
9209 W STATE ST, Garden City, ID 83714

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ikdo State Street LLC's NPI number?

The NPI number for Ikdo State Street LLC is 1932683752. It was assigned to this organization in the NPPES registry on September 18, 2018.

Where is Ikdo State Street LLC located?

Ikdo State Street LLC is located at 9209 W State St, Garden City, ID 83714. The listed phone number is (208) 388-1111.

What is Ikdo State Street LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Ikdo State Street LLC was last updated on September 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.